| National Provider Identifier [NPI]: | 1922079508 |
| Last Name Of The Provider | CHEEMA |
| First Name Of The Provider | SHAHBAZ |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 18550 US HIGHWAY 441 |
| Street Address 2 Of The Provider | SUITE A |
| City Of The Provider | MOUNT DORA |
| Zip Code Of The Provider | 327576725 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 118 |
| Number Of Services | 18353.5 |
| Number Of Medicare Beneficiaries | 1392 |
| Total Submitted Charge Amount | 1369253.01 |
| Total Medicare Allowed Amount | 779616.52 |
| Total Medicare Payment Amount | 624886.44 |
| Total Medicare Standardized Payment Amount | 629929.81 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 13 |
| Number Of Drug Services | 2702.5 |
| Number Of Medicare Beneficiaries With Drug Services | 617 |
| Total Drug Submitted ChargeAmount | 69481 |
| Total Drug Medicare AllowedAmount | 39820.31 |
| Total Drug Medicare PaymentAmount | 35045.3 |
| Total Drug Medicare Standardized Payment Amount | 35045.3 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 105 |
| Number Of Medical Services | 15651 |
| Number Of Medicare Beneficiaries With Medical Services | 1392 |
| Total Medical Submitted Charge Amount | 1299772.01 |
| Total Medical Medicare Allowed Amount | 739796.21 |
| Total Medical Medicare Payment Amount | 589841.14 |
| Total Medical Medicare Standardized Payment Amount | 594884.51 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 69 |
| Number Of Beneficiaries Age 65 to 74 | 544 |
| Number Of Beneficiaries Age 75 to 84 | 587 |
| Number Of Beneficiaries Age Greater 84 | 192 |
| Number Of Female Beneficiaries | 679 |
| Number Of Male Beneficiaries | 713 |
| Number Of Non Hispanic White Beneficiaries | 1327 |
| Number Of Black or African American Beneficiaries | 26 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 23 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1285 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 107 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 55 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.4901 |